Individual
LISA LOUISE SPENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1208 W 15TH ST, EDMOND, OK 73013-3001
(405) 340-2100
(405) 340-1184
Mailing address
1208 W 15TH ST, EDMOND, OK 73013-3001
(405) 340-2100
(405) 340-1184
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
87875
OK
Other
Enumeration date
08/21/2018
Last updated
03/15/2023
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